Synovial Sarcoma in a Neonate
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Case Report

A 21-day-old girl was brought to our hospital by her parents with complaints of swelling in her left arm. The child was born to non-consanguineous parents. She was a full-term normal vaginal delivery, and weighed 3 kg at birth. The mother had an uncomplicated pregnancy and her antenatal ultrasound studies were normal. The child received BCG vaccine in her left arm on the second day of life. The parents noticed a swelling in her left arm below the BCG vaccination site, 2 days after the vaccine was administered. The child was seen by a general surgeon, who suspected the swelling to be BCG vaccine-related abscess in the left biceps muscle, and attempted surgical drainage of the swelling. However, no pus was drained and the swelling could only be removed piecemeal. The histopathological examination (HPE) of the tissue was consistent with sarcoma. The swelling increased in size after the surgical exploration and the parents reported to our hospital for further management. On evaluation, a hard non-tender mass (5×3 cm) was palpable in the left biceps muscle.....

http://www.indianpediatrics.net/apr2016/apr-345-346.htm
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